Do not forget tuberculous meningitis

Abstract

Tuberculous meningitis (TBM) is relatively uncommon compared with other types of meningitis and so it is easy to forget to consider it as an explanation for a patient’s presenting problem. If untreated TBM is fatal in most cases. Who is at risk? Children under aged 5 years, The elderly, HIV infected patients (in these patients TBM may be caused by an “atypical” mycobacterium especially Mycobacterium avium-intracellulare), Alcoholics, Diabetes mellitus, Patients with head trauma and Those on steroid therapy.